Dr Cheri Diane Dersam, MD - Emergency Medicine in Phoenix, AZ

Dr Cheri Diane Dersam, MD is a Emergency Medicine physician based in Phoenix, Arizona. Dr Cheri Diane Dersam is licensed to practice in Arizona (license number 31114) and her current practice location is 4730 E Indian School Rd, Suite 211, Phoenix, Arizona. She can be reached at her office (for appointments etc.) via phone at (602) 354-3491.

NPI number for Dr Cheri Diane Dersam is 1811905177 and her current mailing address is 6131 E Calle Rosa, Scottsdale, Arizona. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1811905177.

Contact Information

Dr Cheri Diane Dersam, MD
4730 E Indian School Rd, Suite 211,
Phoenix, AZ 85018-5441
(602) 354-3491
Not Available

Map and Direction




Physician's Profile

Full NameDr Cheri Diane Dersam
GenderFemale
SpecialityEmergency Medicine
Location4730 E Indian School Rd, Phoenix, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1811905177
  • Provider Enumeration Date: 08/03/2006
  • Last Update Date: 10/20/2007

Medical Identifiers

Medical identifiers for Dr Cheri Diane Dersam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811905177NPI-NPPES
77634604MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 31114 (Arizona)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Cheri Diane Dersam is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Cheri Diane Dersam, MD
6131 E Calle Rosa,
Scottsdale, AZ 85251-4222

Ph: (480) 874-5835
Dr Cheri Diane Dersam, MD
4730 E Indian School Rd, Suite 211,
Phoenix, AZ 85018-5441

Ph: (602) 354-3491

Reviews and Comments


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